MEDICARE: MR. THOMAS MICHAEL HOFFMAN PHARMACIST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	03118985	OH

General Provider Information

NPI Number	:	1306449251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. THOMAS MICHAEL HOFFMAN PHARMACIST

Provider Business Mailing Address
First Line	:	32 S COURT ST
Second Line	:
City	:	ATHENS
State	:	OH
Zip	:	45701-2810
Country	:	US
Telephone Number	:	740-592-6024
Fax Number	:	740-593-7184

Provider Business Practice Location Address
First Line	:	32 S COURT ST
Second Line	:
City	:	ATHENS
State	:	OH
Zip	:	45701-2810
Country	:	US
Telephone Number	:	740-592-6024
Fax Number	:	740-593-7184

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2020
Last Update Date	:	11/20/2020

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